Organization Name: | MICHELLE HARVEY, PHD CLINICAL HEALTH PSYCHOLOGY, P.C. |
NPI Number: | 1861718488 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE BETTE HARVEY (PRESIDENT) |
Mailing Address: | 8325 Whitley Rd Suite 200 Watauga |
State: | TX US |
Postal Code: | 761482487 |
Phone Number: | 8178051510 |
Fax Number: | 8173370986 |
NPI Enumeration Date: | 04/08/2010 |
NPI Last Update Date: | 07/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 32781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |